WO2005092023A3 - Method of controlling a surgical system based on a load on the cutting tip of a handpiece - Google Patents

Method of controlling a surgical system based on a load on the cutting tip of a handpiece Download PDF

Info

Publication number
WO2005092023A3
WO2005092023A3 PCT/US2005/009274 US2005009274W WO2005092023A3 WO 2005092023 A3 WO2005092023 A3 WO 2005092023A3 US 2005009274 W US2005009274 W US 2005009274W WO 2005092023 A3 WO2005092023 A3 WO 2005092023A3
Authority
WO
WIPO (PCT)
Prior art keywords
handpiece
tip
surgical system
load
power
Prior art date
Application number
PCT/US2005/009274
Other languages
French (fr)
Other versions
WO2005092023A2 (en
Inventor
Mikhail Boukhny
Raphael Gordon
Michael Morgan
Ann Yadlowsky
Original Assignee
Alcon Inc
Mikhail Boukhny
Raphael Gordon
Michael Morgan
Ann Yadlowsky
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/818,314 external-priority patent/US7297137B2/en
Priority to PL05731434T priority Critical patent/PL1765190T3/en
Priority to DE602005008605T priority patent/DE602005008605D1/en
Priority to JP2007505045A priority patent/JP4625070B2/en
Priority to DK05731434T priority patent/DK1765190T3/en
Priority to EP05731434A priority patent/EP1765190B1/en
Application filed by Alcon Inc, Mikhail Boukhny, Raphael Gordon, Michael Morgan, Ann Yadlowsky filed Critical Alcon Inc
Priority to CA2559749A priority patent/CA2559749C/en
Priority to CNA2005800092981A priority patent/CN101065072A/en
Priority to BRPI0509131A priority patent/BRPI0509131B8/en
Priority to AU2005226683A priority patent/AU2005226683B2/en
Publication of WO2005092023A2 publication Critical patent/WO2005092023A2/en
Publication of WO2005092023A3 publication Critical patent/WO2005092023A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00745—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
    • A61M3/0208—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity before use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
    • A61M3/0216—Pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0204—Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
    • A61M3/022—Volume; Flow rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0254—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
    • A61M3/0258—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped by means of electric pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00026—Conductivity or impedance, e.g. of tissue
    • A61B2017/0003—Conductivity or impedance, e.g. of tissue of parts of the instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3368—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0202—Enemata; Irrigators with electronic control means or interfaces

Abstract

A surgical system that is able to sense the onset of an occlusion or other surgical event as well as the instant an occlusion breaks. To help avoid overheating of the tip, the system determines an approximate temperature of the eye using an irrigation flow rate and reduces the power to the handpiece automatically if an overheating situation is predicted. Alternatively or in addition, the system monitors the power drawn by the handpiece, which is indicative of the cutting load on the tip, and automatically adjusts the power or stroke of the tip to compensate for increased loads on the tip.
PCT/US2005/009274 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece WO2005092023A2 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
AU2005226683A AU2005226683B2 (en) 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece
DE602005008605T DE602005008605D1 (en) 2004-03-22 2005-03-21 METHOD FOR CONTROLLING A SURGICAL SYSTEM BASED ON A LOAD ON THE CUTTING TIP OF A HANDPIECE
JP2007505045A JP4625070B2 (en) 2004-03-22 2005-03-21 Surgical system control method based on handpiece cutting tip load
DK05731434T DK1765190T3 (en) 2004-03-22 2005-03-21 A method of controlling a surgical system based on a load on the cutting tip of a handheld instrument
EP05731434A EP1765190B1 (en) 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece
PL05731434T PL1765190T3 (en) 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece
CA2559749A CA2559749C (en) 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece
CNA2005800092981A CN101065072A (en) 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece
BRPI0509131A BRPI0509131B8 (en) 2004-03-22 2005-03-21 control system for controlling a surgical system based on a load on the cutting tip of a pen

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US55524004P 2004-03-22 2004-03-22
US60/555,240 2004-03-22
US10/818,314 US7297137B2 (en) 2004-03-22 2004-04-05 Method of detecting surgical events
US10/818,314 2004-04-05
US58769304P 2004-07-14 2004-07-14
US60/587,693 2004-07-14
US11/068,301 US7625388B2 (en) 2004-03-22 2005-02-28 Method of controlling a surgical system based on a load on the cutting tip of a handpiece
US11/068,301 2005-02-28

Publications (2)

Publication Number Publication Date
WO2005092023A2 WO2005092023A2 (en) 2005-10-06
WO2005092023A3 true WO2005092023A3 (en) 2007-04-12

Family

ID=35056742

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/009274 WO2005092023A2 (en) 2004-03-22 2005-03-21 Method of controlling a surgical system based on a load on the cutting tip of a handpiece

Country Status (15)

Country Link
US (7) US7625388B2 (en)
EP (1) EP1765190B1 (en)
JP (1) JP4625070B2 (en)
CN (2) CN101502460B (en)
AT (1) ATE402682T1 (en)
AU (1) AU2005226683B2 (en)
BR (1) BRPI0509131B8 (en)
CA (1) CA2559749C (en)
DE (1) DE602005008605D1 (en)
DK (1) DK1765190T3 (en)
ES (1) ES2311219T3 (en)
PL (1) PL1765190T3 (en)
PT (1) PT1765190E (en)
SI (1) SI1765190T1 (en)
WO (1) WO2005092023A2 (en)

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